Organization
MILLENNIUM FAMILY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GAGANPREET S GILL (OWNER/MANAGER)
(617) 331-8640
Entity
Organization
Contact information
Practice address
314F POCASSET AVE, PROVIDENCE, RI 02909-4828
(401) 942-5051
Mailing address
314F POCASSET AVE, PROVIDENCE, RI 02909-4828
(401) 942-5051
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/09/2019
Last updated
06/09/2019
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